0000943034-17-000005.txt : 20170314
0000943034-17-000005.hdr.sgml : 20170314
20170314175925
ACCESSION NUMBER: 0000943034-17-000005
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170308
FILED AS OF DATE: 20170314
DATE AS OF CHANGE: 20170314
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: IMAGE SENSING SYSTEMS INC
CENTRAL INDEX KEY: 0000943034
STANDARD INDUSTRIAL CLASSIFICATION: MEASURING & CONTROLLING DEVICES, NEC [3829]
IRS NUMBER: 411519168
STATE OF INCORPORATION: MN
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 500 SPRUCE TREE CENTRE
STREET 2: 1600 UNIVERSITY AVE
CITY: ST PAUL
STATE: MN
ZIP: 55104-3825
BUSINESS PHONE: 6516037700
MAIL ADDRESS:
STREET 1: 500 SPRUCE TREE CENTRE
STREET 2: 1600 UNIVERSITY AVE W.
CITY: ST PAUL
STATE: MN
ZIP: 55104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ehrich Richard A.
CENTRAL INDEX KEY: 0001678323
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35959
FILM NUMBER: 17689234
MAIL ADDRESS:
STREET 1: 500 SPRUCE TREE CENTRE
STREET 2: 1600 UNIVERSITY AVE W.
CITY: ST. PAUL
STATE: MN
ZIP: 55104
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2017-03-08
0
0000943034
IMAGE SENSING SYSTEMS INC
isns
0001678323
Ehrich Richard A.
500 SPRUCE TREE CENTRE
1600 UNIVERSITY AVE W.
ST. PAUL
MN
55104
0
1
0
0
CFO
Common Stock
2017-03-08
4
A
0
10000
0
A
23436
D
Consists of an award of restricted stock that will vest as to one-third of the shares subject to the awards on each of the first, second and third anniversary dates of the date of grant if Mr. Ehrich is then an employee of the Image Sensing System, Inc.
/s/ Richard A. Ehrich
2017-03-14